... utilization review experience • Three years of recent experience doing third party payer certification
... utilization review experience • Three years of recent experience doing third party payer certification
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Under the direction of the Manager, provides utilization review and evaluation of Emergency admissions and direct admits to assist in appropriate classification of OBV versus in-patient status. Also ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
New
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
New
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
New
Two years of case management or utilization review, billing, or coding experience • Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification ...
New
Chief Dental Officer
Saginaw, MI · On-site
$100 - $130/hr
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
$100 - $130/hr
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Multiple Openings for Registered Nurse in GRAND BLANC, M
Grand Blanc, MI · On-site
$40 - $50/hr
This position integrates discharge planning, utilization review, and care coordination to promote ... care. * Assist in discharge planning, ensuring appropriate post-hospital care, including home ...
Quick apply
Multiple Openings for Registered Nurse in GRAND BLANC, M
Grand Blanc, MI · On-site
$40 - $50/hr
This position integrates discharge planning, utilization review, and care coordination to promote ... care. * Assist in discharge planning, ensuring appropriate post-hospital care, including home ...
Chief Dental Officer
Dearborn Heights, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Dearborn Heights, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Chief Dental Officer
Saginaw, MI · On-site
Monitors performance activities, including patient access and availability; utilization review and ... Attend local or out-of-town training opportunities or meetings as assigned. * Assist in the ...
Bachelor's degree in coding/medical records/billing or UM Two years of case management or utilization review experience Three years of recent experience doing third party payer certification ...
Bachelor's degree in coding/medical records/billing or UM Two years of case management or utilization review experience Three years of recent experience doing third party payer certification ...
Two years of case management or utilization review, billing, or coding experience Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification as a ...
New
Two years of case management or utilization review, billing, or coding experience Three years of recent experience doing third party payer certification * Basic Life Support (BLS) certification as a ...
New
Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $96/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $96/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Part Time)
Lansing, MI · On-site
$95 - $100/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Physician Reviewer-Radiology (Part Time)
Lansing, MI · On-site
$95 - $100/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Lansing, MI · On-site
$95 - $109/hr
Medical
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... May assist the Senior Medical Director in research activities/questions related to the Utilization ...
Nursing Night Shift Supervisor - Full Time
Medical
Dental
Vision
Life
Retirement
PTO
Administrative Functions: * Assist the Assistant Director of Nursing Services in directing the day ... Attend and participate in the Utilization Review Committee functions as required or as may be ...
Nursing Night Shift Supervisor - Full Time
Medical
Dental
Vision
Life
Retirement
PTO
Administrative Functions: * Assist the Assistant Director of Nursing Services in directing the day ... Attend and participate in the Utilization Review Committee functions as required or as may be ...
Utilization Review Assistant information
See Michigan salary details
$9.29 - $13.51
14% of jobs
$15.67 is the 25th percentile. Wages below this are outliers.
$13.51 - $17.73
22% of jobs
$17.73 - $21.95
13% of jobs
The median wage is $22.44 / hr.
$21.95 - $26.18
14% of jobs
$26.18 - $30.40
11% of jobs
$31.45 is the 75th percentile. Wages above this are outliers.
$30.40 - $34.62
9% of jobs
$34.62 - $38.84
7% of jobs
$38.84 - $43.06
4% of jobs
$43.06 - $47.29
3% of jobs
$47.29 - $51.51
2% of jobs
$51.51 - $55.73
1% of jobs
$9
$27
$55
How much do utilization review assistant jobs pay per hour?
What is a utilization review assistant?
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
What skills and qualifications are needed to be a utilization review assistant?
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
What does a utilization review assistant do?
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
What are the most commonly searched types of Utilization Review jobs in Michigan?
The most popular types of Utilization Review jobs in Michigan are:
What are popular job titles related to Utilization Review Assistant jobs in Michigan?
For Utilization Review Assistant jobs in Michigan, the most frequently searched job titles are:
- Night Shift Remote Utilization Review Nurse
- Utilization Review Specialist
- Utilization Management
- Weekend Physician Advisor Utilization Review
- Full Time Physician Advisor Utilization Review
- Seasonal Remote Hedis Review Nurse
- Utilization Review Physician
- Flex Schedule Remote Utilization Review Nurse
- Evening Utilization Review Nurse
- Flexible Cvs Utilization Management Nurse
What job categories do people searching Utilization Review Assistant jobs in Michigan look for?
The top searched job categories for Utilization Review Assistant jobs in Michigan are:
What cities in Michigan are hiring for Utilization Review Assistant jobs?
Cities in Michigan with the most Utilization Review Assistant job openings:

Integrated Care Management Administrative Assistant
Flint, MI • On-site
Full-time
Posted 23 days ago
McLaren Health Care rating
6.7
Based on 221 frontline employees who took The Breakroom Quiz
531st of 887 rated healthcare providers
Job description
Hours per pay period: 0
Schedule: 8:00 a.m. - 4:30 p.m.
Position Summary: Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as, performing clerical functions to ensure the efficient operation of the ICM department.
Essential Functions and Responsibilities as Assigned:
1. Assists with facilitating discharge planning to expedite a successful transition of care.
2. Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.
3. Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.
4. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.
5. Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.
Required
• Associate degree in healthcare-related field
• Two years of clerical experience
• One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology
• Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)
Preferred:
• Bachelor's degree in coding/medical records/billing or UM
• Two years of case management or utilization review experience
• Three years of recent experience doing third party payer certification
What McLaren Health Care employees say
Pay
Benefits
Hours and flexibility
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About McLaren Port Huron
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Port Huron, MI, US